Individual provider · Type 1 NPI
Johnny G. Casady, LPCC
Mental Health Counselor · Portales, NM
NPI number
1306921903
Active
Practice location
300 East 1st Street
Portales, NM 88130
Fax (505) 359-1075
Mailing address
382 S Roosevelt Road R 1/2
Portales, NM 88130-9015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 0080341 (NM) |
Mental Health Counselor: Definition to come...
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About NPI 1306921903
Johnny G. Casady, LPCC's National Provider Identifier is 1306921903, issued on Oct 25, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portales, NM. The record was last updated on Feb 15, 2011.